CLICK HERE---WWW.BLOSSOMFARM.COM
Just print this page, fill out your order and mail to us with your payment.
Or use the online shopping cart and choose payment by mail, then print it out.
 All order need to be in writing.
DO NOT ORDER BULK DRIED HERBS WITH ANY OTHER ITEMS.
34515 Capel Road        Columbia Station, Ohio 44028      Phone:    440-748-3303

Billing / Delivery Information
(Must be same as Credit Card billing address)


Payment information
Name Name on Card

Street Address
 

 Please bill my:       { VISA }       {  MasterCard  }
City
 

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State,                                                                  Zip
 		 Expiration Date (e.g. 05/02) _____/_____ Back of card number ______________
Daytime Phone
 		 Signature: ________________________________________________________
E-Mail Address
 		 CHECKS PAYABLE TO:    BLOSSOM FARM
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NINE ITEMS FIT IN A SMALL FLAT RATE BOX AND UP TO 16 PLANTS IN A LARGE                            TOTAL:
1 to 8 items ADD $10.35       9 to 16 items ADD $13.95                        SHIPPING CHARGE:  
OVER 16 SIMPLY START OVER. We use flat rate boxes email me if you do not understand.

OHIO STATE COUNTY ___________YOUR COUNTY SALES TAX_______%  OHIO SALES TAX:
Minimum Order is $20.00, NOT INCLUDING SHIPPING CHARGES.                  
                                                                                                      GRAND TOTAL: